| Southern Psychiatric T.m.s., Llc | |
|
48 Main St Ste 2e Senoia GA 30276-1895 | |
| (770) 904-9785 | |
| Not Available |
| Full Name | Southern Psychiatric T.m.s., Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 48 Main St Ste 2e, Senoia, Georgia |
| Authorized Official Name and Position | Shane William Savage (OWNER/PSYCHIATRIST) |
| Authorized Official Contact | 7709049785 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Psychiatric T.m.s., Llc 48 Main St Ste 2e Senoia GA 30276-1895 Ph: (770) 904-9785 | Southern Psychiatric T.m.s., Llc 48 Main St Ste 2e Senoia GA 30276-1895 Ph: (770) 904-9785 |
| NPI Number | 1841859907 |
|---|---|
| Provider Enumeration Date | 06/11/2019 |
| Last Update Date | 06/11/2019 |
| Medicare PECOS PAC ID | 9436485422 |
|---|---|
| Medicare Enrollment ID | O20190729003733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841859907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Primary |
| Provider Name | Shane W Savage |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891960548 PECOS PAC ID: 5890938005 Enrollment ID: I20130906000361 |
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